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Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
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This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. For the most comprehensive experience, we encourage you to visit or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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First-level appeals status
list item Confirmation of appeal requests – use this tool for confirmation that appeal requests have been received by First Coast.
Modified: 9/12/2021
Find the appropriate forms to appeal claim decisions.
When and how to file an appeal
list item When to file an appeal - Use this calculator to determine time limits for filing requests for all five levels of appeals.
list item How to appeal a claim - Learn about the five levels of appeals and how to begin the appeals process.
list item Submit your appeal through SPOT – Submit redeterminations (level-one appeals) and reconsiderations (level two appeals), electronically on SPOT.
Locate the necessary forms to appeal claim decisions.
C2C Innovative Solutions, the Part A East Qualified Independent Contractor (QIC), has the authority to conduct reopenings on previously adjudicated unfavorable claims. Learn more about the QIC their voluntary appeals discussion demonstration.
Find the answers to common appeals-related questions.
Appeals contact information
Find phone numbers and addresses for appeals-related inquiries.
Learn more about overpayments with the following resources:
Please take a few minutes to let us know about your experience external link with the redeterminations process.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.
Part A